Compliance & accreditation guides
Continuous readiness, not survey-prep panic
A 90-day pre-survey sprint is expensive and exhausting, and good compliance programs avoid it. Below: the continuous-readiness primer, plus plain-language guides to Joint Commission patient safety requirements after the 2026 changes, the CMS Conditions of Participation, state adverse event reporting and the Leapfrog Safety Grade.
Start here
- PrimerCompliance and Accreditation: The Continuous Readiness ModelHow continuous readiness replaces the pre-survey sprint: Evidence Slots, named owners, refresh cadences, mock surveys and keeping up with new standards.
- Deep diveMeeting Joint Commission patient safety requirementsThe 2026 National Performance Goals, sentinel event policy, proactive risk assessment and culture of safety: what Joint Commission surveyors look for.
- Deep diveCMS Conditions of Participation for safety and qualityWhat the CMS hospital Conditions of Participation require for QAPI, patient grievances and adverse event tracking, and how surveyors check the evidence.
Put it into practice
Programs that turn this guidance into everyday work
Compliance & AccreditationMap standards to owned Evidence Slots so the survey binder stays current all year.Explore Compliance & Accreditation →
Safety ReportingRoute safety reports to the right review team and track each one to action.Explore Safety Reporting →
Policy ManagementKeep the policies surveyors pull owned, current and reviewed on schedule.Explore Policy Management →
Deep dives
Focused guides on the parts of the practice that most often go wrong.
- State incident reporting requirements for healthcareHow state adverse event reporting works: serious reportable events, the 2025 NQF list, varying deadlines and managing reporting across multiple states.
- Leapfrog Group safety metrics and reportingHow the Leapfrog Hospital Safety Grade is built: 22 measures, the Leapfrog Hospital Survey, culture of safety practices and what moves the grade.
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